Examination of the Hip and SI Joint Flashcards
What occurs with an anterior innominate rotation?
ASIS is low on the involved side; PSIS is high on the involved side; leg may appear longer in supine but then may shorten when patient comes up to a long sitting position.
What occurs with a posterior innominate rotation?
ASIS is high on the involved side; PSIS is low on involved side; leg may appear shorter in supine but then lengthens in long sitting.
What are the symptom reproduction tests for the SI joint?
Gaenslen’s; Sacral thrust; thigh thrust; SI compression; SI distraction; Faber test.
What are the Non-symptom reproduction special tests for SI dysfunction?
Standing flexion test; Gillet test; Long sitting test.
What are the ROM norms for hip flexion, extension, ER, IR, Abd, ADD?
Flexion: 120; Extension: 20; ER and IR: 45; Abduction: 40; Adduction: 20.
What is the resting position of the hip?
30 degrees flexion, 30 degrees abduction, slight lateral rotation.
What is the close-packed position of the hip?
Full extension, medial rotation, and abduction.
What is the capsular pattern of the hip?
IR > Flexion > ABD.
What are the parts of the inspection of the hip?
Posture; gait; retroversion; anteversion; foot position; leg length.
What muscle length tests would you do for the hip?
Hamstring length; Ober test; modified Thomas test.
What special tests would be included for the hip?
Quadrant test; Trendelenburg; FABER (Patrick) Test; FADIR (flexion, add, IR) test.
What does the sign of the buttock indicate?
Osteomyelitis of femur; fractured sacrum; neoplasm at upper femur; septic SA arthritis; ischiorectal abscess.
Which functional outcome measures should you use for hip?
Lower extremity functional scale; Harris hip score; Western Ontario and McMaster Universities OA index.
Where is true leg length measured from?
ASIS to medial malleolus.
Where is apparent leg length measured from?
Umbilicus to lateral malleolus.
